Sotorasib for Lung Cancers with
Adult
Aged
Aged, 80 and over
Antineoplastic Agents
/ adverse effects
B7-H1 Antigen
/ antagonists & inhibitors
Biomarkers
/ blood
Carcinoma, Non-Small-Cell Lung
/ drug therapy
Female
Humans
Lung Neoplasms
/ drug therapy
Male
Middle Aged
Mutation
Piperazines
/ adverse effects
Progression-Free Survival
Proto-Oncogene Proteins p21(ras)
/ antagonists & inhibitors
Pyridines
/ adverse effects
Pyrimidines
/ adverse effects
Journal
The New England journal of medicine
ISSN: 1533-4406
Titre abrégé: N Engl J Med
Pays: United States
ID NLM: 0255562
Informations de publication
Date de publication:
24 06 2021
24 06 2021
Historique:
pubmed:
8
6
2021
medline:
8
7
2021
entrez:
7
6
2021
Statut:
ppublish
Résumé
Sotorasib showed anticancer activity in patients with In a single-group, phase 2 trial, we investigated the activity of sotorasib, administered orally at a dose of 960 mg once daily, in patients with Among the 126 enrolled patients, the majority (81.0%) had previously received both platinum-based chemotherapy and inhibitors of programmed death 1 (PD-1) or programmed death ligand 1 (PD-L1). According to central review, 124 patients had measurable disease at baseline and were evaluated for response. An objective response was observed in 46 patients (37.1%; 95% confidence interval [CI], 28.6 to 46.2), including in 4 (3.2%) who had a complete response and in 42 (33.9%) who had a partial response. The median duration of response was 11.1 months (95% CI, 6.9 to could not be evaluated). Disease control occurred in 100 patients (80.6%; 95% CI, 72.6 to 87.2). The median progression-free survival was 6.8 months (95% CI, 5.1 to 8.2), and the median overall survival was 12.5 months (95% CI, 10.0 to could not be evaluated). Treatment-related adverse events occurred in 88 of 126 patients (69.8%), including grade 3 events in 25 patients (19.8%) and a grade 4 event in 1 (0.8%). Responses were observed in subgroups defined according to PD-L1 expression, tumor mutational burden, and co-occurring mutations in In this phase 2 trial, sotorasib therapy led to a durable clinical benefit without new safety signals in patients with previously treated
Sections du résumé
BACKGROUND
Sotorasib showed anticancer activity in patients with
METHODS
In a single-group, phase 2 trial, we investigated the activity of sotorasib, administered orally at a dose of 960 mg once daily, in patients with
RESULTS
Among the 126 enrolled patients, the majority (81.0%) had previously received both platinum-based chemotherapy and inhibitors of programmed death 1 (PD-1) or programmed death ligand 1 (PD-L1). According to central review, 124 patients had measurable disease at baseline and were evaluated for response. An objective response was observed in 46 patients (37.1%; 95% confidence interval [CI], 28.6 to 46.2), including in 4 (3.2%) who had a complete response and in 42 (33.9%) who had a partial response. The median duration of response was 11.1 months (95% CI, 6.9 to could not be evaluated). Disease control occurred in 100 patients (80.6%; 95% CI, 72.6 to 87.2). The median progression-free survival was 6.8 months (95% CI, 5.1 to 8.2), and the median overall survival was 12.5 months (95% CI, 10.0 to could not be evaluated). Treatment-related adverse events occurred in 88 of 126 patients (69.8%), including grade 3 events in 25 patients (19.8%) and a grade 4 event in 1 (0.8%). Responses were observed in subgroups defined according to PD-L1 expression, tumor mutational burden, and co-occurring mutations in
CONCLUSIONS
In this phase 2 trial, sotorasib therapy led to a durable clinical benefit without new safety signals in patients with previously treated
Identifiants
pubmed: 34096690
doi: 10.1056/NEJMoa2103695
pmc: PMC9116274
mid: NIHMS1734941
doi:
Substances chimiques
Antineoplastic Agents
0
B7-H1 Antigen
0
Biomarkers
0
CD274 protein, human
0
KRAS protein, human
0
Piperazines
0
Pyridines
0
Pyrimidines
0
sotorasib
2B2VM6UC8G
Proto-Oncogene Proteins p21(ras)
EC 3.6.5.2
Banques de données
ClinicalTrials.gov
['NCT03600883']
Types de publication
Clinical Trial, Phase II
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2371-2381Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NCI NIH HHS
ID : P50 CA070907
Pays : United States
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2021 Massachusetts Medical Society.
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